Understanding and Addressing the Role of Coping in Palliative Care for Patients With Advanced Cancer
(2020) In Journal of clinical oncology : official journal of the American Society of Clinical Oncology 38(9). p.915-925- Abstract
Advanced cancer, with its considerable physical symptoms and psychosocial burdens, represents an existential threat and major stressor to patients and their caregivers. In response to such stress, patients and their caregivers use a variety of strategies to manage the disease and related symptoms, such as problem-focused, emotion-focused, meaning-focused, and spiritual/religious coping. The use of such coping strategies is associated with multiple outcomes, including quality of life, symptoms of depression and anxiety, illness understanding, and end-of-life care. Accumulating data demonstrate that early palliative care, integrated with oncology care, not only improves these key outcomes but also enhances coping in patients with advanced... (More)
Advanced cancer, with its considerable physical symptoms and psychosocial burdens, represents an existential threat and major stressor to patients and their caregivers. In response to such stress, patients and their caregivers use a variety of strategies to manage the disease and related symptoms, such as problem-focused, emotion-focused, meaning-focused, and spiritual/religious coping. The use of such coping strategies is associated with multiple outcomes, including quality of life, symptoms of depression and anxiety, illness understanding, and end-of-life care. Accumulating data demonstrate that early palliative care, integrated with oncology care, not only improves these key outcomes but also enhances coping in patients with advanced cancer. In addition, trials of home-based palliative care interventions have shown promise for improving the ways that patients and family caregivers cope together and manage problems as a dyad. In this article, we describe the nature and correlates of coping in this population, highlight the role of palliative care to promote effective coping strategies in patients and caregivers, and review evidence supporting the beneficial effects of palliative care on patient coping as well as the mechanisms by which improved coping is associated with better outcomes. We conclude with a discussion of the limitations of the state of science, future directions, and best practices on the basis of available evidence.
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- author
- Greer, Joseph A ; Applebaum, Allison J ; Jacobsen, Juliet C LU ; Temel, Jennifer S and Jackson, Vicki A
- publishing date
- 2020-03-20
- type
- Contribution to journal
- publication status
- published
- keywords
- Adaptation, Psychological, Caregivers/psychology, Humans, Neoplasms/psychology, Palliative Care/psychology, Quality of Life, Social Support, Stress, Psychological/prevention & control
- in
- Journal of clinical oncology : official journal of the American Society of Clinical Oncology
- volume
- 38
- issue
- 9
- pages
- 915 - 925
- publisher
- Lippincott Williams & Wilkins
- external identifiers
-
- scopus:85082094419
- pmid:32023161
- ISSN
- 0732-183X
- DOI
- 10.1200/JCO.19.00013
- language
- English
- LU publication?
- no
- id
- c591e34a-3d9e-4266-8e1a-6b889e567a10
- date added to LUP
- 2024-11-13 13:51:22
- date last changed
- 2025-07-11 13:18:42
@article{c591e34a-3d9e-4266-8e1a-6b889e567a10,
abstract = {{<p>Advanced cancer, with its considerable physical symptoms and psychosocial burdens, represents an existential threat and major stressor to patients and their caregivers. In response to such stress, patients and their caregivers use a variety of strategies to manage the disease and related symptoms, such as problem-focused, emotion-focused, meaning-focused, and spiritual/religious coping. The use of such coping strategies is associated with multiple outcomes, including quality of life, symptoms of depression and anxiety, illness understanding, and end-of-life care. Accumulating data demonstrate that early palliative care, integrated with oncology care, not only improves these key outcomes but also enhances coping in patients with advanced cancer. In addition, trials of home-based palliative care interventions have shown promise for improving the ways that patients and family caregivers cope together and manage problems as a dyad. In this article, we describe the nature and correlates of coping in this population, highlight the role of palliative care to promote effective coping strategies in patients and caregivers, and review evidence supporting the beneficial effects of palliative care on patient coping as well as the mechanisms by which improved coping is associated with better outcomes. We conclude with a discussion of the limitations of the state of science, future directions, and best practices on the basis of available evidence.</p>}},
author = {{Greer, Joseph A and Applebaum, Allison J and Jacobsen, Juliet C and Temel, Jennifer S and Jackson, Vicki A}},
issn = {{0732-183X}},
keywords = {{Adaptation, Psychological; Caregivers/psychology; Humans; Neoplasms/psychology; Palliative Care/psychology; Quality of Life; Social Support; Stress, Psychological/prevention & control}},
language = {{eng}},
month = {{03}},
number = {{9}},
pages = {{915--925}},
publisher = {{Lippincott Williams & Wilkins}},
series = {{Journal of clinical oncology : official journal of the American Society of Clinical Oncology}},
title = {{Understanding and Addressing the Role of Coping in Palliative Care for Patients With Advanced Cancer}},
url = {{http://dx.doi.org/10.1200/JCO.19.00013}},
doi = {{10.1200/JCO.19.00013}},
volume = {{38}},
year = {{2020}},
}